Arthroscopic Management of Lateral Epicondylitis

The pathoanatomy of lateral epicondylitis has been well described, with the essential lesion occurring at the origin of the extensor carpi radialis brevis tendon. It is widely accepted that nonoperative management remains the initial treatment of choice for this condition. However, when nonoperative management fails, operative intervention is indicated. Multiple surgical procedures have been described for the treatment of recalcitrant lateral epicondylitis, including both open and arthroscopic procedures. There is a lack of consensus as to which procedure provides the best outcomes and long-term relief. In this article, we describe our technique for arthroscopic evaluation, identification, and resection of the abnormal tendinosis at the extensor origin. In our experience, arthroscopic management of lateral epicondylitis can effectively resect the abnormal tendinosis and provide long-term relief with patient satisfaction.